Impact of Sociodemographic, Psychological, and Quality of Life Factors on Dual-Task Performance in Elderly Iraqis

NCT06476561 | Completed

• 1 other identifier: 1bd259b9391040ed].
• Study Type: observational
• Target: 384
• Locations: 1 country
• Sites: 1

Brief Summary

This study investigates the impact of sociodemographic, psychological, and quality of life factors on dual-task performance in elderly individuals living in Iraq. Dual-task performance, the ability to perform two tasks simultaneously, is a crucial indicator of cognitive and motor functions in older adults. This research aims to understand how factors such as age, gender, education, income, mental health (depression, anxiety, and stress), mindfulness, and overall quality of life influence the ability of elderly individuals to manage dual tasks, which is essential for maintaining independence and preventing falls. The study hypothesizes that better physical health and quality of life will be associated with improved dual-task performance, while higher levels of psychological distress may negatively impact this ability. Data were collected from 384 healthy community-dwelling elderly participants aged 60 and above in Najaf, Iraq, using validated tools such as the Depression Anxiety Stress Scales-21 (DASS-21), the Mindful Attention Awareness Scale (MAAS), and the World Health Organization Quality of Life Brief Form (WHOQOL-BREF). Dual-task performance was assessed through the Nine-Hole Peg Test (NHPT) combined with a cognitive task of counting backward by threes. The findings from this study will provide valuable insights into the factors that affect cognitive and motor functions in the elderly, helping to inform the development of targeted interventions and policies aimed at improving the quality of life and care for Iraq's aging population. Understanding these influences is crucial for enhancing elderly care, preventing falls, supporting cognitive health, and informing policies to improve the quality of life for Iraq's aging population.

Conditions

Cognitive Dysfunction; Motor Skills Disorders; Aging

Keywords

Dual-Task Performance; Elderly; Cognitive Function; Motor Skills; Quality of Life; Physical Health

Outcome Measures

Primary Outcomes (1)

• Dual-Task Performance

  The primary outcome measure is the dual-task performance, assessed by the time taken to complete the Nine-Hole Peg Test (NHPT) while simultaneously performing a cognitive task of counting backward by threes. This metric characterizes the impact of cognitive load on motor performance, with higher DTC values indicating greater difficulty in managing dual tasks.

  The measurement is assessed at a single point in time during the participant's enrollment visit, immediately following the completion of both single-task and dual-task conditions.

Secondary Outcomes (1)

• Psychological Distress Levels

  The measurement is assessed at a single point in time during the participant's enrollment visit, immediately following the completion of the DASS-21 questionnaire.

Study Arms (1)

Elderly Participants in Iraq

This study group consists of community-dwelling elderly individuals aged 60 and above residing in Najaf, Iraq. The participants are healthy and do not have severe physical or mental health conditions. They are evaluated to understand how sociodemographic, psychological, and quality of life factors influence their dual-task performance, which includes both cognitive and motor functions. The study aims to provide insights into factors affecting their ability to perform dual tasks, contributing to the development of targeted interventions and policies for improving the quality of life and care for Iraq's aging population.

Other: - Sociodemographic Assessment - Psychological Assessment - Quality of Life Assessment - D

Interventions

- Sociodemographic Assessment - Psychological Assessment - Quality of Life Assessment - D OTHER

The study involves several assessments to evaluate the impact of various factors on dual-task performance in elderly individuals: 1. Sociodemographic Assessment: Collection of data on age, gender, education, income, marital status, and other relevant factors. 2. Psychological Assessment: Use of the Depression Anxiety Stress Scales-21 (DASS-21) to measure levels of depression, anxiety, and stress. 3. Quality of Life Assessment: Utilization of the World Health Organization Quality of Life Brief Form (WHOQOL-BREF) to assess physical health, psychological health, social relationships, and environment. 4. Dual-Task Performance Evaluation: Measurement of the ability to perform a cognitive task (counting backward by threes) simultaneously with a motor task (Nine-Hole Peg Test). The dual-task cost (DTC) is calculated to quantify the impact of cognitive load on motor performance.

Elderly Participants in Iraq

Eligibility Criteria

• Age: 60 Years - 89 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

\*\*Study Population Description:\*\* The study population consists of healthy, community-dwelling elderly individuals aged 60 and above residing in Najaf, Iraq. Participants are recruited from various community centers, healthcare facilities, and local organizations within the city. The population includes individuals from diverse sociodemographic backgrounds, ensuring a representative sample of the elderly community in Najaf. The focus is on those who are generally healthy and capable of understanding and participating in the study procedures, excluding individuals with severe physical or mental health conditions or significant cognitive impairments.

You may qualify if:

• Age 60 years and above
• Healthy community-dwelling individuals
• Ability to understand and comply with study procedures
• Willingness to provide informed consent
• Residing in Najaf, Iraq

You may not qualify if:

• Severe physical health conditions
• Severe mental health conditions (e.g., severe depression, severe anxiety, schizophrenia)
• Cognitive status below the Mild Cognitive Impairment (MCI) limit
• Language barriers preventing understanding of study procedures
• Severe communication issues
• Unwillingness to participate
• Presence of consciousness disorders such as dementia
• Any condition that, in the opinion of the investigators, would interfere with the ability to complete the study or pose a risk to the participant's health

Sponsors & Collaborators

• Çankırı Karatekin University: lead

Study Sites (1)

Ceyhun Türkmen

Yenimahalle, Ankara, Turkey (Türkiye)

Location

Related Publications (6)

• Abo M, Hamaguchi T. Effectiveness of a Dual-Task Intervention Involving Exercise and Vocalized Cognitive Tasks. J Clin Med. 2024 May 17;13(10):2962. doi: 10.3390/jcm13102962.

  PMID: 38792503 RESULT

• Mahmood KA, Saleh AM. Barriers and facilitators influencing access to and utilization of primary healthcare services in Kurdistan-region, Iraq: a cross-sectional study. Ann Med Surg (Lond). 2023 Jun 10;85(7):3409-3417. doi: 10.1097/MS9.0000000000000957. eCollection 2023 Jul.

  PMID: 37427184 RESULT

• Ali AM, Ahmed A, Sharaf A, Kawakami N, Abdeldayem SM, Green J. The Arabic Version of The Depression Anxiety Stress Scale-21: Cumulative scaling and discriminant-validation testing. Asian J Psychiatr. 2017 Dec;30:56-58. doi: 10.1016/j.ajp.2017.07.018. Epub 2017 Jul 18.

  PMID: 28755630 RESULT

• Baek JE, Hyeon SJ, Kim M, Cho HY, Hahm SC. Effects of dual-task resistance exercise on cognition, mood, depression, functional fitness, and activities of daily living in older adults with cognitive impairment: a single-blinded, randomized controlled trial. BMC Geriatr. 2024 Apr 24;24(1):369. doi: 10.1186/s12877-024-04942-1.

  PMID: 38658827 RESULT

• Bherer L, Erickson KI, Liu-Ambrose T. A review of the effects of physical activity and exercise on cognitive and brain functions in older adults. J Aging Res. 2013;2013:657508. doi: 10.1155/2013/657508. Epub 2013 Sep 11.

  PMID: 24102028 RESULT

• Bowen A, Wenman R, Mickelborough J, Foster J, Hill E, Tallis R. Dual-task effects of talking while walking on velocity and balance following a stroke. Age Ageing. 2001 Jul;30(4):319-23. doi: 10.1093/ageing/30.4.319.

  PMID: 11509310 RESULT

MeSH Terms

Conditions

Cognitive Dysfunction; Motor Skills Disorders

Condition Hierarchy (Ancestors)

Cognition Disorders; Neurocognitive Disorders; Mental Disorders; Neurodevelopmental Disorders

Study Officials

• Ceyhun Türkmen, PhD

  Çankırı Karatekin University Faculty of Health Sciences Department of Occupational Therapy

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof.

Study Record Dates

• First Submitted: June 19, 2024
• First Posted: June 26, 2024
• Study Start: March 1, 2024
• Primary Completion: April 30, 2024
• Study Completion: May 10, 2024
• Last Updated: June 26, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: The IPD and additional supporting information will become available starting 6 months after the publication of the study results and will be accessible for a period of 5 years thereafter.
• Access Criteria: IPD and supporting information will be shared with researchers who provide a methodologically sound proposal. Proposals should be directed to the principal investigator, Dr. Ceyhun Türkmen, and will be reviewed by the study's ethics committee. Data access will be granted for the purpose of replicating results or conducting further research on the same or related topics. Researchers will be required to sign a data use agreement before accessing the data.

Locations

TU (1)